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Medicare Advantage growth could normalize, but nursing home leaders call for rate floor and other changes

February 28, 2025 / 8 min read

The growing gap between traditional Medicare and Medicare Advantage is pushing many providers to reset their operating models and staffing levels, and take a close look at their payer mix. Steve Przybilla provides insights.

As Medicare Advantage (MA) growth continues, nursing home leaders are advocating for crucial changes, including the establishment of a rate floor to address financial strain from lower payment rates and administrative burdens.

Steve Przybilla, a principal at Plante Moran Living Forward, points out the increasing gap between traditional Medicare and MA, which has made it harder for nursing homes to balance payer sources amid rising care costs. He notes nursing home operators are getting savvier, with many resetting their operating models and staffing levels, and taking a close look at payer mix.

Learn more about the growing concerns among industry leaders and the urgent need for policy adjustments in the full Skilled Nursing News article: “Medicare Advantage Growth Could Normalize, but Nursing Home Leaders Call for Rate Floor and Other Changes.”

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